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AFS Maine Global Explorers- Adventurer Parent Application Supplemental (April)
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* Indicates required question
Applicant Name
*
Your answer
Parent/Guardian 1 Full Name
*
Your answer
Parent/Guardian 1 Phone Number
*
Your answer
Parent/Guardian 1 Email
*
Your answer
Mailing Street Address 1
*
Your answer
Mailing Street Address 2
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Parent/Guardian 2 Full Name
*
Your answer
Parent/Guardian 2 Phone Number
*
Your answer
Parent/Guardian 2 Email
*
Your answer
What is your household income? Please adjust accordingly if any member's employment status has been impacted
*
Choose
$0-$24,999
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$124,999
$125,000-$149,999
$150,000-$174,999
$175,000-$200,000
$200,000+
Has the applicant already applied to either the April 6, 2021 - May 4, 2021 or April 20, 2021 - May 18, 2021 session?
*
Yes (April 6 - May 4)
Yes (April 20 - May 18)
No
Do you agree to reimburse the AFS Maine Global Explorers Scholarship for any funds disbursed in situations where your child does not complete all program requirements, attend all four live events, or fails to share post-program feedback?
*
Yes
No
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